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A Stitch in Time: Superior Epigastric Artery Injury During Emergency Pericardiocentesis

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Case report reveals injury to superior epigastric artery during pericardiocentesis, highlighting risks of vascular injuries.

Emergent pericardiocentesis stabilized a patient with cardiac tamponade due to coronary perforation, leading to discovery of arterial injury.
During the procedure, 300 mL of blood was drained, and a stent was deployed to seal the LAD perforation before complications arose.
Exploratory sternotomy later confirmed the injury involved an aberrant superior epigastric artery, which was surgically ligated to improve patient outcomes.
The incident underscores the rare but serious risks of vascular complications during pericardiocentesis, necessitating vigilant monitoring.

Agrawal et al. (2025) studied this question.

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